应用动态二级系统来探索西班牙语和非西班牙语患者之间以关系为中心的护理特征
Marie C Haverfield1, Yuwei Li2, Rachyl Pines3
1Department of Communication Studies, San José State University, San Jose, CA, USA.
Patient education and counseling
|February 1, 2025
概括
动态二级系统 (DDS) 揭示了以关系为中心的护理 (RCC) 交付中的不平等. 医疗服务提供者与拉丁语患者进行了更多以患者为中心的对话,而与非拉丁语患者的教育交流占据了主导地位,突出了文化敏感性的差距.
科学领域:
- 在医疗保健领域的沟通
- 社会语言学 社会语言学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以人际关系为中心的护理 (RCC) 强调了患者和医疗服务提供者的交流,但其动态不太清楚.
- 传统的分析方法限制了对临床访问期间关系交流的演变的洞察力.
- 动态二级系统 (DDS) 提供了一种新的方法来分析患者与医疗服务提供者的互动中的相互依赖和不断变化的模式.
研究的目的:
- 应用动态二级系统 (DDS) 分析来研究以关系为中心的护理 (RCC) 特性如何在临床访问中表现出来.
- 为了比较西班牙语拉丁语患者和英语非拉丁语患者之间的沟通模式.
- 识别在提供以关系为中心的护理方面的潜在不平等现象.
主要方法:
- 分析了13次初级保健访问的成绩单 (5次拉丁语,8次非拉丁语).
- 利用序列分析来识别患者-提供者双层中的对话动机 (轮流模式).
- 检查了二时间序列图,以可视化交互轨迹和贡献.
主要成果:
- 在患者与医疗服务提供者的互动中确定了四种不同的对话动机.
- 医疗服务提供者与拉丁语患者进行了更多以患者为中心的探测,关系性沟通特征的代表性不足.
- 提供者与非拉丁语患者进行了更有教训性的交流.
结论:
- 动态二级系统 (DDS) 有效地分析患者-提供者沟通,揭示了以关系为中心的护理 (RCC) 交付中的相互依赖和不平等.
- 研究结果强调了行为改变的机会,以改善医疗保健服务中的文化敏感性.
- 这项研究强调了理解细微的沟通模式的重要性,以确保公平的患者护理.
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